[Outcome at more than 10 years of 93 tibial osteotomies for internal arthritis in genu varum (or the predominant influence of the frontal angular correction)].
[Outcome at more than 10 years of 93 tibial osteotomies for internal arthritis in genu varum (or the predominant influence of the frontal angular correction)].
复制标题
[10多年来93例胫骨截骨术治疗膝内翻关节炎的结果（或额角矫正的主要影响）]。
DOI：
--
复制
发表时间：
1986
期刊：
影响因子：
--
通讯作者：
J. Debeyre
中科院分区：
文献类型：
--
作者：
D. Goutallier;P. Hernigou;D. Medevielle;J. Debeyre
作者对退行性关节炎进行了93例胫骨高位外翻截骨术，并在10年后进行了审查。66例患者的平均年龄为70岁。结果有些令人失望。17个膝关节在术后第10年之前必须进行手术，在审查时只有42个膝关节无痛。影像学改善内侧胫股关节是罕见的。幸运的是，外侧胫股关节的恶化是例外的，关节松弛很少是麻烦的。作者得出结论，截骨时的矫正量非常重要。结果是令人满意的情况下，外翻范围在3至6度已获得。当截骨术产生更大量的外翻时，可见外侧胫股关节恶化。当截骨术产生小于3度外翻时，内翻畸形复发。在这些病例中，7年后注意到功能恶化。因此，截骨术似乎减缓了疾病的自然演变。外翻截骨术的结果是令人满意的，在大多数情况下，但他们是优秀的情况下，在外翻范围为3至6度已产生。强调了精确的放射学测量的重要性，在伴有屈曲畸形或关节松弛的病例中，测量的准确性值得怀疑。手术过程的精确性也非常重要。
Ninety three high tibial valgus osteotomies have been performed by the authors for degenerative arthritis and reviewed more than 10 years later. The mean age of the 66 patients was 70 years. The results were somewhat disappointing. Seventeen knees had to be operated on before the tenth post-operative year and only 42 knees were painless at the time of review. Radiological improvement in the medial tibio-femoral joint was rarely seen. Fortunately, deterioration in the lateral tibio femoral joint was exceptional and joint laxity was rarely troublesome. The authors conclude that the amount of correction at the time of the osteotomy is of extreme importance. The results were satisfactory only in cases where valgus ranging between 3 and 6 degrees had been obtained. When an osteotomy produced a greater amount of valgus, deterioration of the lateral tibio-femoral joint was seen. When the osteotomy produced less than 3 degrees of valgus, recurrence of the varus deformity developed. In these cases, functional deterioration was noted after seven years. Thus, the osteotomy appeared to have slowed down the natural evolution of the disease. The results of valgus osteotomy were satisfactory in most of the cases, but they were excellent only in cases in which a valgus ranging from 3 to 6 degrees had been produced. The importance of a precise radiological measurement is stressed, the accuracy of measurement being doubtful in cases with associated flexion deformity or joint laxity. The precision of the surgical procedure is also very important.